Indiana
Professional Licensing Agency
Amy M Burkholder
Temporary Physical Therapist Permit
License number
99011431A
Date granted
01/07/2004
Date expires
04/06/2004
Class
Temporary Physical Therapist Permit
Status
Superceded
Address
Indianapolis IN 46234
indianalicensing.org
ID 8380807
LAST UPDATED 2024-04-24 11:39:07 UTC
LAST UPDATED 2024-04-24 11:39:07 UTC
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